Accounts Receivable Caller

1 - 3 years

2 - 3 Lacs

Posted:-1 days ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Follow up with insurance companies on unpaid, denied, or pending medical claims

  • Check claim status through insurance portals and outbound calls
  • Identify reasons for claim denials or delays and take corrective action
  • Review and interpret EOBs (Explanation of Benefits) and remittance advice
  • Work on reprocessing, appeals, and resubmission of claims as required
  • Ensure timely reimbursement by resolving payment issues efficiently
  • Accurately document all follow-up actions and updates in the billing system
  • Coordinate with internal teams (coding, billing, eligibility) to resolve claim issues
  • Meet daily/weekly productivity, quality, and TAT targets
  • Escalate complex or aged claims to team leads or managers
  • Maintain compliance with HIPAA and organizational guidelines

    onsibilities

Preferred candidate profile

  • Graduate or equivalent qualification (any discipline)
  • 1 to 3 years of experience in US healthcare AR calling / revenue cycle management
  • Strong knowledge of insurance follow-up processes (Medicare, Medicaid, Commercial payers)
  • Experience handling denied, underpaid, and aging claims
  • Basic to intermediate knowledge of CPT, ICD-10, and HCPCS codes
  • Ability to analyze EOBs and remittance advice accurately
  • Good verbal communication and negotiation skills
  • Familiarity with US healthcare billing systems and payer portals
  • Strong attention to detail and problem-solving skills
  • Ability to meet productivity, quality, and turnaround time targets
  • Willingness to work in US shifts / night shifts
  • Good computer skills and documentation accuracy

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